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Structured handover in general surgery: an audit of current practice. | PSNet

psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice

August 08, 2018 - Study Structured handover in general surgery: an audit of current practice. Citation Text: Jones HG, Watt B, Lewis L, et al. Structured Handover in General Surgery: An Audit of Current Practice. J Patient Saf. 2019;15(1):7-10. doi:10.1097/PTS.0000000000000201. Copy Citation Format:…

Reducing medical error in the Military Health System: how can team training help? | PSNet

psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help

March 29, 2007 - Commentary Reducing medical error in the Military Health System: how can team training help? Citation Text: Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.101…

Addressing safety concerns about U-500 insulin in a hospital setting. | PSNet

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March 15, 2017 - Commentary Addressing safety concerns about U-500 insulin in a hospital setting. Citation Text: Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224. Copy Citation Form…

Patient participation in patient safety and nursing input—a systematic review. | PSNet

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June 10, 2020 - Review Patient participation in patient safety and nursing input—a systematic review. Citation Text: Vaismoradi M, Jordan S, Kangasniemi M. Patient participation in patient safety and nursing input - a systematic review. J Clin Nurs. 2015;24(5-6):627-39. doi:10.1111/jocn.12664. Copy Ci…

Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet

psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative

April 12, 2023 - Study Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. Citation Text: Burden M, Astik GJ, Auerbach AD, et al. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. JAMA Intern Med. 2024…

Effect of communication errors during calls to an antimicrobial stewardship program. | PSNet

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June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …

Nursing home residents with dementia: association between place of death and patient safety culture. | PSNet

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November 04, 2020 - Study Nursing home residents with dementia: association between place of death and patient safety culture. Citation Text: Orth J, Li Y, Simning A, et al. Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. Gerontologist. 2021;61(8):1296-1…

Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. | PSNet

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May 29, 2015 - Review Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. Citation Text: Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…

Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. | PSNet

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October 13, 2018 - Commentary Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. Citation Text: Koppel R, Kreda D. Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians. JAMA. 2009;301(12):12…

Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. | PSNet

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November 08, 2023 - Study Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. Citation Text: Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. …

A survey of factors affecting clinician acceptance of clinical decision support. | PSNet

psnet.ahrq.gov/issue/survey-factors-affecting-clinician-acceptance-clinical-decision-support

July 10, 2008 - Study A survey of factors affecting clinician acceptance of clinical decision support. Citation Text: Sittig DF, Krall MA, Dykstra RH, et al. A survey of factors affecting clinician acceptance of clinical decision support. BMC Med Inform Decis Mak. 2006;6(1). doi:10.1186/1472-6947-6-6.…

Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. | PSNet

psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health

June 01, 2022 - Study Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. Citation Text: Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…

Patient safety informatics: meeting the challenges of emerging digital health. | PSNet

psnet.ahrq.gov/issue/patient-safety-informatics-meeting-challenges-emerging-digital-health

June 08, 2022 - Commentary Patient safety informatics: meeting the challenges of emerging digital health. Citation Text: McInerney C, Benn J, Dowding D, et al. Patient safety informatics: meeting the challenges of emerging digital health. Stud Health Technol Inform. 2022;290:364-368. doi:10.3233/shti220…

Medication errors in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/medication-errors-intensive-care-unit

October 12, 2022 - Study Medication errors in an intensive care unit. Citation Text: Bohomol E, Ramos LH, D'Innocenzo M. Medication errors in an intensive care unit. J Adv Nurs. 2009;65(6):1259-67. doi:10.1111/j.1365-2648.2009.04979.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet

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June 24, 2010 - Review A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Citation Text: Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. …

Advances in Patient Safety and Medical Liability. | PSNet

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May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical Liability. Citation Text: Advances in Patient Safety and Medical Liability. Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No…

Medication safety messages for patients via the web portal: the MedCheck intervention. | PSNet

psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention

September 11, 2013 - Study Medication safety messages for patients via the web portal: the MedCheck intervention. Citation Text: Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. Copy Cit…

Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/developing-person-centred-analysis-harm-paediatric-hospital-quality-improvement-report

September 23, 2020 - Study Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. Citation Text: Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44…

Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report

May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national

March 12, 2025 - Study Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK Na…

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